Organization
BOUNDLESS COMMUNITY OT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA HOGAN OTR/L (OCCUPATIONAL THERAPIST)
(781) 864-2268
Entity
Organization
Contact information
Practice address
120 MAIN ST, BRIDGEWATER, MA 02324-1409
(781) 864-2268
Mailing address
1029 PLEASANT ST STE 101, BRIDGEWATER, MA 02324-2473
(781) 864-2268
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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